Doctor Name: | MRS. ANN MARIE WITHERIDGE |
NPI Number: | 1265554117 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN,C |
License Number: | 26NJ00084700 |
Business Practice Address: | 126 E. Lincoln Ave, Merck & Co., Pob 2000 Ry 59-10 Rahway, NJ - 07065 |
Business Phone Number: | 7325940704 |
Business Fax Number: | 7325943548 |
Mailing Address: | 1 Zirkel Ave, PISCATAWAY |
State: | NJ |
Postal Code: | 088545713 |
Phone Number: | 7325940704 |
Fax Number: | 7325943548 |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NJ00084700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |